CPT 67901

Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl

CPT 67901 pays $793.61 in a non-facility setting and $502.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $709.43 in Arkansas to $942.06 in Alaska, a 33% spread.

National non-facility rate

$793.61

Office and other outpatient settings

Facility rate
$502.35

Hospital and ASC settings

Highest state
$942.06

Alaska

Lowest state
$709.43

Arkansas · 33% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $793.61
CPT 67901 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $793.61, national facility $502.35.
StateRate compared visuallyNon-facilityFacility
Alaska
$942.06$631.88
District of Columbia
$902.87$559.77
California
$889.34$544.70
New Jersey
$874.28$546.33
New York
$873.54$548.62
Washington
$870.62$538.59
Massachusetts
$862.34$535.11
Hawaii
$856.91$525.75
Connecticut
$843.38$529.70
Colorado
$825.68$515.79
Maryland
$820.77$517.13
Oregon
$817.98$511.15
Florida
$814.96$522.74
Rhode Island
$813.41$512.55
New Hampshire
$812.57$509.37
Puerto Rico
$799.08$504.62
Virgin Islands
$799.08$504.62
Illinois
$795.59$514.17
Minnesota
$794.27$494.57
Montana
$793.56$502.31
Nevada
$790.67$499.13
Wyoming
$788.22$496.97
Pennsylvania
$786.48$501.20
Delaware
$786.44$498.68
Texas
$785.34$498.60
North Dakota
$781.30$490.05
South Dakota
$779.85$488.60
Virginia
$778.58$492.28
Vermont
$778.12$489.77
Arizona
$774.33$492.10
Georgia
$773.86$496.00
Michigan
$769.97$496.49
Maine
$762.48$484.18
Utah
$759.95$486.17
Wisconsin
$757.19$478.17
New Mexico
$754.13$487.05
North Carolina
$750.91$479.16
South Carolina
$750.54$481.42
Missouri
$750.00$482.72
Louisiana
$748.84$482.92
Ohio
$748.03$482.12
Indiana
$744.58$474.59
Idaho
$740.63$472.68
Nebraska
$740.24$471.41
Iowa
$736.43$469.93
Tennessee
$736.18$471.42
West Virginia
$733.66$480.56
Kentucky
$733.49$474.56
Kansas
$732.86$469.57
Oklahoma
$732.73$472.64
Alabama
$718.90$464.05
Mississippi
$715.12$464.35
Arkansas
$709.43$459.25

Billed by 1 specialties

Commercial rates for 67901

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates